NORMAN PEMBERTON (OD) – Optometrist, NPI 1225708282

NORMAN PEMBERTON (OD) is a healthcare provider. based in Miami, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6015 (FL). The NPI Number for NORMAN PEMBERTON (OD) is 1225708282

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NORMAN PEMBERTON (OD)
NPI
1225708282
Phone
(646) 713-2312
Address
701 S MIAMI AVE UNIT 245B
Enumeration Date
20 September 2021
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056622990
Graduation Year
2021 (5 years ago)
PAC ID
2163813437
Group Practice PAC ID
2264695436
Professional Enrollment ID
I20211221000245
Address ID
FL331861304MI13852STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for NORMAN PEMBERTON (OD)

  • 701 S MIAMI AVE UNIT 245B

    MIAMI, FL 331301957

    Phone: (646) 713-2312

    Fax: (786) 513-3847

    Type: Location

  • 8711 SW 30TH ST APT 106

    DAVIE, FL 333281829

    Phone: (305) 878-4534

    Type: Mailing

  • 13852 SW 88TH ST

    MIAMI, FL 331861304

    Phone: (305) 662-2990

    Fax: (888) 371-2283

    Type: Location

  • 51 SW 11TH ST APT 1231

    MIAMI, FL 331304151

    Phone: (305) 878-4534

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $680.

Total Amount is formed as General ($680) + Research ($0) + Ownership ($0) = $680.

Last reported payment date: 2024-05-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($321).

Total Amount

$680

General + Research + Ownership

Payments

11

Total payment records

General Amount

$680

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211221000245IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264695436View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do payers reference NORMAN PEMBERTON (OD)?
For NORMAN PEMBERTON (OD), use NPI 1225708282 as the unique 10-digit identifier.
Is NORMAN PEMBERTON (OD) shown as active in public data?
Registry records indicate NORMAN PEMBERTON (OD) maintains an active NPI.
What expertise is attributed to NORMAN PEMBERTON (OD)?
NORMAN PEMBERTON (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with NORMAN PEMBERTON (OD)?
Directory geography for NORMAN PEMBERTON (OD) centers on Miami, Florida.
Can I trust this NPI listing for NORMAN PEMBERTON (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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